Please complete the form below to set up a new clinic account. Requests for new clinic accounts can take up to two business days to process.

Please email sales@pdsupplements.com,
or call (218) 656-7410 if you require further assistance.

Doctor's Name: *

Clinic Name: *

Clinic Address: *

City *

State *

ZIP Code *

Clinic Website:

Phone Number *

Email Address: *

Specific area of medical practice/focus: *

Additional Comments/Questions?:

What product orders are you interested in PD Supplements fulfilling?: *

(Example: Existing PD Supplements products, my own line of products, etc.)

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Please Contact Us With Any Questions

PD Supplements only provides products and services directly to those under the care of licensed health care practitioners. PD Supplements does not provide products, assistance or advice to the general public. Please contact your health care provider with any product or health care questions.

Disclaimer: These statements have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, treat, cure, mitigate, or prevent any disease.

Copyright © 2018 - PD Supplements. All Rights Reserved.

Please contact us at sales@pdsupplements.com with any questions.

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